Healthcare Provider Details

I. General information

NPI: 1740302520
Provider Name (Legal Business Name): JOHN K. ESHLEMAN, D.O., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5303 FRANKFORD AVE
PHILADELPHIA PA
19124-1217
US

IV. Provider business mailing address

5303 FRANKFORD AVE
PHILADELPHIA PA
19124-1217
US

V. Phone/Fax

Practice location:
  • Phone: 215-831-1404
  • Fax:
Mailing address:
  • Phone: 215-831-1404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS004143L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN K ESHLEMAN
Title or Position: PHYSICIAN
Credential: D.O.
Phone: 215-831-1404